Healthcare Provider Details

I. General information

NPI: 1891553632
Provider Name (Legal Business Name): KALEY ANNE ROMERO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MINOR AVE STE 300
SEATTLE WA
98104-2133
US

IV. Provider business mailing address

515 MINOR AVE STE 300
SEATTLE WA
98104-2133
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-6565
  • Fax: 206-752-1384
Mailing address:
  • Phone: 206-320-6565
  • Fax: 206-752-1384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-14656
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70081991
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00849100
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number031570
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: